Individual
MICHAEL MAESTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
179 S PARKSIDE DR, COLORADO SPRINGS, CO 80910-3130
(719) 572-6393
Mailing address
179 S PARKSIDE DR, COLORADO SPRINGS, CO 80910-3130
(719) 572-6393
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ABC.0007714
CO
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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